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'�������c��� ������►�- �����-�-�o� <br /> �ITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-889 0 � FAX 425-257-88�7 � (E)everetteps@everettwa.gov� www.everettwa.gov/permits <br /> : .:.... ,. :.. <br /> ..,_ .. ._ . . <<. . .:_... _._. ..___ =-�_._ : <br /> . , : �R����`�:.��`�'� �E������a`�I�9t� .. . <br /> PROJEGT ADDRESS: �p 0 S E � l�U�. S <br /> BUILDING AREA{if residential,new construction,remodel,o addition) � SF � <br /> BUILDING TYPE: ❑SFR DETACHED ❑SFR-ATfACHED ❑ DUPLEX CI MULTI-FAMILY-#OF UNITS: COMMEftCIAL <br /> USE OF BUILDtiVG: � � <br /> .... . :. :.. .:. .:.::, .. .. . .-.:...., ... _.. . ,.._ ...: ...,. .... .: ... . ..--- : . <br /> : .... . . <br /> ... ������r�������e��re��v t�v�����,r�o�_ .. :_.:_....:. ... :.:�.. .:. <br /> COIVTRACT PRICE�F WORK:$ } p�q, � � <br /> idUMBER OF DEVICES(ifi low voltage);� <br /> FIRE AL.ARM? ❑YES IS�NO <br /> ASSOClATED BUILDING PERMIT#(if applicable): t3orJ� <br /> DESCRIPTION OF�I/ORK: �dd so a e l�h-cu � l,�.euw�e <br /> � �S GtrZw l2v 'W$ eY' - <br /> .� .:... .... ...... : ... .;�...,: .:.� �CO °'�',AC -- - .. . ,.. <br /> ,.�..,. . . . . ..... _ <br /> .: _ . . .... ::. ...:... . . .. .: ..:....., ... . . <br /> ,. <br /> .. .� <br /> : <br /> -,, . :.,:. ... : ...:..,:N. ..r:...'fi 1lVlFORMATION_. :.,:: :.. - <br /> OWNER NAME: �X, (� TENANT NAME(if Commercial): (',�,ee �O ! <br /> OWNER MAILING ADDRESS: s-rReEr p r <br /> G7Y � � STATE ZIP ��� <br /> QWNER PHONE: 2S� (p�'�,I�o( OWNER EMAIL: `"" <br /> CONTRACTO:R NAME: � <br /> CONTRACTORADDRESS: srneEr �t � pO �G�.{ �•FC 0 <br /> � ll CY��Qj CIN . SiATE �j✓ ZIP q� �„ <br /> CONTi�ACTOR PHONE: L{z,s-'�j S' — CONTRACTOR EMAl1.: f41 SPR12(G G KU� Gl/! <br /> COfVTRAC70R LIC.#(REG2UIRED): K M �LEG (p CITY OF EVERETT BUSINESS l.IC.#(REQUfRED):Q�j4 � <br /> PRIMARY CONTACT: ❑OWNER V��CONTRACTOR �OTHER(Please Specify) <br /> CONTACT NAME: GONTAGT PHONE: L�ZS" — I�V� <br /> ° M��� �.lop9 CONTACT EMAIL: MSP ��� 71� L- � <br /> AGREEMENT.•T hereby certify that 1 have read and examined this applicaffon and know the same to be true and co ect. All provisions of/aws and ordinances governing this <br /> fype of work will be compJeted whether specified herein or not The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or <br /> local law regulaSng construction or the performance of construcfion. That t am authorized by the owner of this p{operty fo perform the work for which application is made and 1 <br /> comply with the State Contractors Lavv 98.27 RCW and 296 200 WAC. <br /> City of Evereft Otficial Use Only <br /> FEE <br /> � ,l ��.�� <br /> PERMIT# <br /> Z_ ,, � j�l l 2� t��� <br /> ��..�.,� �J�-�.�._- c Y 7 <br /> Owner/Aufhorized Agent Signature Date (Revised 10/12J2075) <br />